Pectus excavatum
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 8–18 years; 2. Body mass index (BMI) within the normal range for children and adolescents (15–28 kg/m²); 3. Pectus excavatum confirmed by clinical symptoms, physical examination, and imaging studies (chest computed tomography [CT] or X-ray) with a Haller index = 3.0; 4. American Society of Anesthesiologists (ASA) physical status classification ?–?; 5. Scheduled for elective single-steel-plate minimally invasive repair of pectus excavatum (MIRPE, also known as the Nuss procedure); 6. Written informed consent signed by legal guardians.
Exclusion criteria
Exclusion criteria: 1 Known allergy to local anesthetics (e.g., ropivacaine) or study-related medications; 2. Abnormal coagulation function (platelet count 1.5); 3. Acute infection of the skin or soft tissues in the puncture area; 4. Long-term (>3 months) preoperative use of opioids or acetaminophen-containing analgesics; 5. Presence of cognitive impairment, mental illness, or developmental delay that prevents cooperation with visual analog scale (VAS) pain assessment; 6. Inability of guardians to master the operation of patient-controlled intravenous analgesia (PCIA) pumps.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain score at 24 hours after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Opioid dosage;Local anesthetic dosage;PACU residence time;length of stay in hospital;Pain scores at various time points within 48 hours postoperatively;Time to first postoperative analgesic demand;Number of PCA pump presses within 48 hours postoperatively; | — |
Countries
China
Contacts
The First Affiliated Hospital of Anhui Medical University